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08【参考資料3】International Coalition of Medicines Regulatory Authorities SARS-CoV-2 Variant Workshop(Thursday 30 June 2022) (2 ページ)

公開元URL https://www.mhlw.go.jp/stf/newpage_26922.html
出典情報 厚生科学審議会 予防接種・ワクチン分科会(第33回 7/22)《厚生労働省》
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that the Omicron lineages are clearly antigenically distinct from earlier VOCs.

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Omicron BA.4/BA.5 are associated with additional immune escape based on

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published data in individuals either vaccinated or vaccinated and previously

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infected.

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Currently used mRNA vaccines based on the ancestral (index) virus still perform

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well against severe disease, but waning efficacy is observed, most noticeably for

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protection against infection and symptomatic disease. Vaccine efficacy has

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decreased with time since last dose administered and against recent VOCs,

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particularly Omicron. Booster doses largely restore protection, especially against

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severe disease and death and potentially against serious complications like long

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COVID-19.

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Waning immunity in the population together with the ongoing emergence of novel

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variants deviating from the ancestral virus results in an increased risk of significant

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COVID-19 outbreaks. A vaccine composition update would be expected to

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provide additional protection against current and future variants, some of which

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are now rather distant from the ancestral (index) virus.

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Repeated exposure to SARS-CoV-2 antigens (vaccination/infection) enhances

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not only the magnitude but also the breadth of the antibody response. In addition,

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Moderna and Pfizer both presented preliminary data on neutralizing antibodies

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induced by their mRNA vaccines to contain Omicron. Vaccination of previously

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uninfected adults with a bivalent mRNA vaccine (encoding for ancestral as well as

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the Omicron BA.1 S protein) appears to result in titers of neutralizing antibodies

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against Omicron BA.1 that are 1.5 to 2-fold higher than with the ancestral virus-

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based mRNA vaccine currently used. A monovalent vaccine as a booster can

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produce robust immunity especially against the homologous strain included in the

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vaccine, but in a primary series clinical study a monovalent BA.1 vaccine showed

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a narrow breadth of immunity across other strains. Data in animals can provide

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additional insight into the type of immunity induced by different vaccine

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compositions ahead of results from clinical trials. More data with respect to
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